Claims Representative Associate

This position follows a hybrid schedule with three (3) in-office days per week. Our office is located at 7 Technology Dr. Irvine CA 92618.

Optum is a global organization that delivers care, aided by technology to help millions of people live healthier lives. The work you do with our team will directly improve health outcomes by connecting people with the care, pharmacy benefits, data and resources they need to feel their best. Here, you will find a culture guided by diversity and inclusion, talented peers, comprehensive benefits and career development opportunities. Come make an impact on the communities we serve as you help us advance health equity on a global scale. Join us to start Caring. Connecting. Growing together.

This position is full time. Employees are required to have flexibility to work any of our 8-hour shift schedules during our normal business hours of 7:30am – 4:00pm PST. It may be necessary, given the business need, to work occasional overtime.  

We offer weeks of on-the-job training. The hours during training will be an 8-hour shift between 7:30am to 4:00pm PST, Monday – Friday.

  

Primary Responsibilities:

• Support incoming mail for the team
• Process information from the system of files scanned, validating files as needed
• Run a MACRO in the internal system daily
• Work on projects as assigned by leadership

  

You’ll be rewarded and recognized for your performance in an environment that will challenge you and give you clear direction on what it takes to succeed in your role as well as provide development for other roles you may be interested in. 

Required Qualifications:

• High School Diploma / GED
• Must be 18 years of age OR older
• Experience in basic computer skills and proficiency in standard PC applications (e.g., Microsoft Office, email, internet browsers)
• Ability to work on site in the Irvine location 2 – 3 times per week
• Ability to work full time. Employees are required to have flexibility to work any of our 8-hour shift schedules during our normal business hours of 7:30am – 4:00pm PST. It may be necessary, given the business need, to work occasional overtime.  

  

Preferred Qualifications:

• 1+ years of experience processing pharmacy or prescription claims, OR in a PBM (pharmacy benefit setting OR environment)
• Experience using Microsoft Teams OR Microsoft Excel
• Pharmacy Tech experience
• Experience with data entry, document management, and scheduling tools is a plus

  

Telecommuting Requirements:

• Reside within 60 miles distance to the office at 7 Technology Dr. Irvine CA 92618
• Ability to keep all company sensitive documents secure (if applicable) 
• Required to have a dedicated work area established that is separated from other living areas and provides information privacy.
• Must live in a location that can receive a UnitedHealth Group approved high-speed internet connection or leverage an existing high-speed internet service.

  

Soft Skills:

• Strong written and verbal communication skills.
• Ability to manage multiple tasks and prioritize effectively in a fast-paced environment.
• Attention to detail and strong organizational skills.

  

*All employees working remotely will be required to adhere to UnitedHealth Group’s Telecommuter Policy  

  

Pay is based on several factors including but not limited to local labor markets, education, work experience, certifications, etc. In addition to your salary, we offer benefits such as, a comprehensive benefits package, incentive and recognition programs, equity stock purchase and 401k contribution (all benefits are subject to eligibility requirements). No matter where or when you begin a career with us, you’ll find a far-reaching choice of benefits and incentives. The hourly pay for this role will range from $16.00 – $27.69 per hour based on full-time employment. We comply with all minimum wage laws as applicable.  

  

At UnitedHealth Group, our mission is to help people live healthier lives and make the health system work better for everyone. We believe everyone–of every race, gender, sexuality, age, location, and income–deserves the opportunity to live their healthiest life. Today, however, there are still far too many barriers to good health which are disproportionately experienced by people of color, historically marginalized groups, and those with lower incomes. We are committed to mitigating our impact on the environment and enabling and delivering equitable care that addresses health disparities and improves health outcomes — an enterprise priority reflected in our mission.

  

  

UnitedHealth Group is an Equal Employment Opportunity employer under applicable law and qualified applicants will receive consideration for employment without regard to race, national origin, religion, age, color, sex, sexual orientation, gender identity, disability, or protected veteran status, or any other characteristic protected by local, state, or federal laws, rules, or regulations.

  

UnitedHealth Group is a drug – free workplace. Candidates are required to pass a drug test before beginning employment.

  

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